[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-283710-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-283710-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","rocky-mountain-health-plans-radiology-provider-orientation-session-agenda","Rocky Mountain Health Plans Radiology Provider Orientation Session - Agenda","","Radiology Management provider orientation session content for Rocky Mountain Health Plans (RMHP), outlining the program’s operating model and how prior authorization applies to radiology services. The presentation covers eviCore healthcare’s evidence-based clinical approach, guideline development process, multispecialty staffing, and the scope of authorization for outpatient diagnostic elective/non-emergent services. It also clarifies where prior authorization does not apply (emergency rooms, observation services, inpatient stays) and directs providers to verify member eligibility and benefits through the secured provider portal.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/presentations/","Presentations",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/rocky-mountain-health-plans-radiology-provider-orientation-session-agenda/283710/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/rocky-mountain-health-plans-radiology-provider-orientation-session-agenda/283710.png","ImageObject",442,249,{"name":42,"@type":43},"8796093062539","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-02","2026-09-17",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",13,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"When will eviCore begin accepting RMHP radiology prior authorization requests for Elite providers?","Question",{"text":63,"@type":64},"eviCore will begin accepting requests on August 23, 2021, for dates of service September 1, 2021 and after.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"Which radiology services are subject to RMHP prior authorization?",{"text":68,"@type":64},"Prior authorization applies to outpatient, diagnostic, elective/non-emergent radiology services.",{"name":70,"@type":61,"acceptedAnswer":71},"Where does RMHP prior authorization not apply?",{"text":72,"@type":64},"It does not apply to services performed in emergency rooms, observation services, or inpatient stays.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},283710,1791721875,{"code":4,"msg":82,"data":83},"success",[84,88,93,98,103,108,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":86,"slug":87},11,90,"presentations",{"id":89,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},12,"Resumes",80,"resumes",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},14,"Invoices",70,"invoices",{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},15,"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":110,"show_sort_weight":111,"slug":112},17,"Forms",40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":11,"doc_module":22,"category_id":85,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":135,"language":136,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":12,"update_tm":140,"read_time":141},8796093062539,"Radiology Management  \nProvider Orientation Session for Rocky Mountain Health Plans (RMHP)  \n©2020 eviCore healthcare. All Rights Reserved. This presentation contains CONFIDENTIAL and PROPRIETARY information.  \nAgenda  \n• Company Overview  \n• Clinical Approach  \n• Program Overview  \n• Submitting Requests  \n• Prior Authorization Outcomes & Special Considerations  \n• Reconsideration Options  \n• Provider Portal Overview  \n• Additional Provider Portal Features  \n• Provider Resources  \n• Q & A  \n ©eviCore healthcare. All Rights Reserved. This presentation contains CONFIDENTIAL and PROPRIETARY information.  2  \nCompany Overview  \n ©eviCore healthcare. All Rights Reserved. This presentation contains CONFIDENTIAL and PROPRIETARY information.  3  \nMedical Benefits Management  \n(MBM)   \nAddressing the complexity of the healthcare system  \n10 Comprehensive  \nsolutions  \nEvidence-based clinical guidelines  \n5k+ employees, including  \n1k+ clinicians  \nAdvanced, innovative, and intelligent technology  \n ©eviCore healthcare. All Rights Reserved. This presentation contains CONFIDENTIAL and PROPRIETARY information.  4  \nClinical Approach  \n ©eviCore healthcare. All Rights Reserved. This presentation contains CONFIDENTIAL and PROPRIETARY information.  5  \nEvidence-Based Guidelines  \nThe foundation of our solutions  \nDedicated pediatric guidelines  \nContributions from a panel of community physicians  \nExperts associated with academic institutions  \nCurrent clinical literature  \nAligned with National Societies:  \n• American College of Cardiology  \n• American Heart Association  \n• American Society of Nuclear Cardiology  \n• Heart Rhythm Society  \n• American College of Radiology  \n• American Academy of Neurology  \n• American College of Chest Physicians  \n• American College of Rheumatology  \n• American Academy of Sleep Medicine  \n• American Urological Association  \n• National Comprehensive Cancer Network  \n• American Society for Radiation Oncology  \n• American Society of Clinical Oncology  \n• American Academy of Pediatrics  \n• American Society of Colon and Rectal Surgeons  \n• American Academy of Orthopedic Surgeons  \n• North American Spine Society  \n• American Association of Neurological Surgeons  \n• American College of Obstetricians and Gynecologists  \n• The Society of Maternal-Fetal Medicine  \n ©eviCore healthcare. All Rights Reserved. This presentation contains CONFIDENTIAL and PROPRIETARY information.  6  \nClinical Staffing – Multispecialty Expertise  \nDedicated nursing and physician specialty teams for a wide range of solutions  \n Anesthesiology  \n Cardiology  \n Chiropractic  \n Emergency Medicine  \n Family Medicine  \n• Family Medicine / OMT  \n• Public Health & General Preventative Medicine  \n Gastroenterology  \n Internal Medicine  \n• Cardiovascular Disease  \n• Critical Care Medicine  \n• Endocrinology, Diabetes & Metabolism  \n• Geriatric Medicine  \n• Hematology  \n• Hospice & Palliative Medicine  \n• Medical Oncology  \n• Pulmonary Disease  \n• Rheumatology  \n• Sleep Medicine  \n• Sports Medicine  \n Medical Genetics  \n Nuclear Medicine  \n OB / GYN  \n• Maternal-Fetal Medicine  \n Oncology / Hematology  \n Orthopedic Surgery  \n Otolaryngology  \n Pain Mgmt. / Interventional Pain  \n Pathology  \n• Clinical Pathology  \n Pediatric  \n• Pediatric Cardiology  \n• Pediatric Hematology-Oncology  \n Physical Medicine & Rehabilitation  \nPain Medicine  \n Physical Therapy  \n Radiation Oncology Radiology  \n • Diagnostic Radiology  \n• Neuroradiology  \n• Radiation Oncology  \n• Vascular & Interventional Radiology  \n Sleep Medicine  \n Sports Medicine  \n Surgery  \n• Cardiac  \n• General  \n• Neurological  \n• Spine  \n• Thoracic  \n• Vascular  \n Urology  \n400 +  \nmedical directors  \nCovering  \n51  \nspecialties  \n1k +  \nnurses  \n ©eviCore healthcare. All Rights Reserved. This presentation contains CONFIDENTIAL and PROPRIETARY information.  7  \nProgram Overview  \n ©eviCore healthcare. All Rights Reserved. This presentation contains CONFIDENTIAL and PROPRIETARY information.  9  \nRMHP ","cbCaip1by6EWHs8d","https://ap.wps.com/l/cbCaip1by6EWHs8d","pdf",4393312,74,"English","# Agenda\n## Company Overview\n## Clinical Approach\n## Program Overview\n## Submitting Requests\n## Prior Authorization Outcomes & Special Considerations\n## Reconsideration Options\n## Provider Portal Overview\n## Additional Provider Portal Features\n## Provider Resources\n## Q & A","[{\"question\":\"When will eviCore begin accepting RMHP radiology prior authorization requests for Elite providers?\",\"answer\":\"eviCore will begin accepting requests on August 23, 2021, for dates of service September 1, 2021 and after.\"},{\"question\":\"Which radiology services are subject to RMHP prior authorization?\",\"answer\":\"Prior authorization applies to outpatient, diagnostic, elective/non-emergent radiology services.\"},{\"question\":\"Where does RMHP prior authorization not apply?\",\"answer\":\"It does not apply to services performed in emergency rooms, observation services, or inpatient stays.\"}]","Rocky Mountain Health Plans Radiology Provider Orientation Session - Agenda | PDF",1789617670,26]